MEDICARE: APEX MEDICAL TECHNOLOGIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1871307827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX MEDICAL TECHNOLOGIES INC

Provider Business Mailing Address
First Line	:	3815 HIGHWAY 66 S STE 1
Second Line	:
City	:	ROGERSVILLE
State	:	TN
Zip	:	37857-5197
Country	:	US
Telephone Number	:	800-420-2426
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 HIGHWAY 66 S STE 1
Second Line	:
City	:	ROGERSVILLE
State	:	TN
Zip	:	37857-5197
Country	:	US
Telephone Number	:	800-420-2426
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD PERIGO
Credential	:
Telephone Number	:	800-420-2426

Provider Enumeration Date	:	02/01/2025
Last Update Date	:	02/01/2025

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